CMS Formulary

Displaying 182691-182700 of 1611142 results.
ID: 182691
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2183131
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 182692
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1873765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182693
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 539789
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 9
Qty Limit Days: 30
ID: 182694
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 856666
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 182695
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 979115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182696
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1244062
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182697
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1244064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182698
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 637216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182699
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673274
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 182700
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673278
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0